Democrats Should Pass the Doc Fix Bill


A bill to permanently reform the ridiculous annual charade over the Medicare “doc fix” passed the House today:

The House overwhelmingly approved sweeping changes to the Medicare system on Thursday, in the most significant bipartisan policy legislation to pass through that chamber since the Republicans regained a majority in 2011.

The measure, which would establish a new formula for paying doctors and end a problem that has bedeviled the nation’s health care system for more than a decade, has already been blessed by President Obama, and awaits a vote in the Senate. The bill would also increase premiums for some higher income beneficiaries and extend a popular health insurance program for children.

But of course there’s a problem:

Senate Democrats have been resistant to provisions in the bill that preserve restrictions on the use of federal money for abortion services and extend a children’s health program for only two years, but they are expected to eventually work with Senate Republicans to pass the measure.

This is similar to the problem with the bipartisan human trafficking bill, which Senate Democrats filibustered last week because of a provision that none of its funds could be used to pay for abortions.

I suppose this will get me a lot of flack for being a sellout, but I think Dems should approve both bills. Yes, the abortion provisions are annoying, and go slightly beyond similar language that’s been in appropriations bills for decades. But slightly is the operative word here. Like it or not, Republicans long ago won the battle over using federal funds for abortions. Minor affirmations of this policy simply don’t amount to much aside from giving Republicans some red meat for their base.

This is mostly symbolic, not substantive. Let’s pass the bills.